Jennifer L Chilek MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L8307 Issued in TX

Legal business name

JENNIFER L CHILEK MD PA

Practice address

19782 Highway 105 W
Sui 111
Montgomery, TX 77356-3103

Phone

(936) 582-0220

Fax

(936) 582-0222

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer L Chilek, MD

Title

Owner

Phone

(936) 582-0220

Specialties & licenses 1

Addresses

Other names 1

• Stone Creek Family Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1659560852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 W",
            "address_2": "SUI 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563103",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 W",
            "address_2": "SUI 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563103",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L CHILEK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "CHILEK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-582-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chinonyerem Igboagi, PHARMD
• Zoe L Ingalls, LCSW
• Integrated Medical Care PLLC
• Itrust Home Care
• James Patrick Oneal MD PA
• JMC Worldwide PLLC
• Forrest Galen Johnson, PHARM.D.
• Daffany Kay Jones
• James W. Jones, M.D.
• Jennifer Jones, LCSW-S

• Family Medicine Physician in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.